Häggman-Laitila Arja, Mattila Lea-Riitta, Melender Hanna-Leena
Professor Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
Principal Lecturer (retired).
Worldviews Evid Based Nurs. 2016 Apr;13(2):163-71. doi: 10.1111/wvn.12131. Epub 2016 Jan 14.
Two previous systematic reviews describe studies on journal clubs from 1995 to 2007.
To gather, assess, and synthesize the current empirical evidence on implementation of journal clubs, influencing factors, and outcomes of journal clubs in promoting evidence-based nursing.
A systematic review based on the procedure of the Centre for Reviews and Dissemination.
Cochrane, CINAHL, and PubMed Medline databases were sought from 2008 to 2015. The final data consisted of 10 studies. Articles' references were searched manually. The quality appraisal was made according to study design. Data were analyzed by qualitative content analysis and narrative synthesis.
The analyses produced four main categories with 14 subcategories that described the journal clubs: organization, conduct of meetings, influencing factors, and intervention outcomes. Journal clubs had been carried out in a fairly uniform manner in different nursing communities. There remains a lack of evidence on journal clubs' impact on evidence-based nursing (EBN) implementation, which challenges the development of journal clubs' content and methods.
Because journal clubs have achieved a uniform and easy-to-follow manner that is suitable for different nursing contexts and provide multiple positive outcomes, they are recommended for EBN. In work communities, journal clubs should be combined with other well-known factors that promote EBN implementation. The assessment of the outcomes of journal clubs should cover all learning categories of EBN with a focus on medium- to long-term effectiveness. The evaluation of the effectiveness of journal clubs on patient care is of great importance for future studies.
之前的两项系统评价描述了1995年至2007年关于期刊俱乐部的研究。
收集、评估和综合当前关于期刊俱乐部实施情况、影响因素以及期刊俱乐部在促进循证护理方面的结果的实证证据。
基于循证与传播中心程序的系统评价。
检索2008年至2015年的Cochrane、CINAHL和PubMed Medline数据库。最终数据包括10项研究。手动检索文章参考文献。根据研究设计进行质量评估。通过定性内容分析和叙述性综合分析数据。
分析产生了四个主要类别和14个子类别，描述了期刊俱乐部：组织、会议开展、影响因素和干预结果。期刊俱乐部在不同护理群体中的开展方式相当一致。关于期刊俱乐部对循证护理（EBN）实施的影响仍缺乏证据，这对期刊俱乐部内容和方法的发展构成挑战。
由于期刊俱乐部已经实现了一种统一且易于遵循的方式，适用于不同的护理环境并提供多种积极结果，因此推荐用于循证护理。在工作群体中，期刊俱乐部应与其他促进循证护理实施的知名因素相结合。期刊俱乐部结果的评估应涵盖循证护理的所有学习类别，重点是中长期效果。评估期刊俱乐部对患者护理的有效性对未来研究非常重要。
